Salolampi at FinnFest USA ’99 Seattle, Washington, July 22 and 23, 1999                   Participation Form

Participant’s Name: _______________________________________________________                                                 first                                                 middle                                                 last
Birth Date: ______________________________	__ Male         __ Female
Previous experience with Finnish language: _________________________________________________

Parent/guardian Information Parent/guardian name(s): ____________________________________________________ Home Address: ____________________________________________________________ Telephone (home): ______________________ (work or other): ______________________

Does the participant have any allergies or other medical concerns?                 __ Yes                 __ No (If "yes," please list on the back of this sheet.) Does the participant have dietary or activity restrictions? ____________________________________ Parental Permission to treat: In case of emergency, in the event that you cannot be reached during the program, do you give permission for a physician to diagnose and treat your child?                 __ Yes                 __ No             Do you give permission for your child to be photographed? (Photographs may be used in news articles or future publicity.)                 __ Yes         __ No, except in groups of three or more, not identified by name.     Person(s) other than parents/guardians authorized to pick up participants on Thursday and Friday: ____________________________________________________________________________________       Parent/guardian signature: _______________________________________________     Date: ____________ Check to see that all parts are completed. To complete registration for Salolampi at FinnFest USA ’99, this Participation Form must be completed and returned to: Salolampi c/o Larry Saukko Concordia Language Villages 9500 Ruppstrasse NE Bemidji MN 56601 After you send this form, you will receive an informational letter. For further information, please contact Larry Saukko:     Phone: 1-800-450-2214         Fax: 1-800-455-3630         E-Mail: saukko@cord.edu Sponsored by Salolampi Foundation, Concordia Language Villages, Finlandia Foundation, and FinnFest USA ‘99.

FinnFest USA '99 4122 – 128th Ave. SE, Suite 305, Bellevue, WA 98006 Phone: (425) 401-7100   Fax: (425) 641-9983 E-mail: FinnFest99@finns.org